<div class="row">
	<div class="span12">
	  	<div class='input'>
	   	<label>Address : </label> <input id="addresspicker_map" />   <br/>
		<label>Locality: </label> <input id="locality" disabled="disabled"> <br/>
		<label>Country:  </label> <input id="country" disabled="disabled"> <br/>
		<label>Lat:      </label> <input id="lat" disabled="disabled" > <br/>
		<label>Lng:      </label> <input id="lng" disabled="disabled" > <br/>
	   </div>
	   <div id="map"></div>
	</div>
</div>
